杰出人才绿卡申请评估表（eb-1a） - law offices of li associates.docxVIP

PAGE \* MERGEFORMAT 4 Eb1a_evaluation sheet 李相如律师事务所 LAW OFFICES OF LI ASSOCIATES 18938 Labin Court, Suite A203 Rowland Heights, CA 91748 Tel: 626-820-9106 Fax: 626-820-9107 杰出人才绿卡申请评估表 （EB-1A） Evaluation for Alien with Extraordinary Ability (EB-1A) 申请人基本情况 /Applicant’s Information 名: Name 姓: Last Name 地址 Address 性别: Gender 手机: Mobile 出身日期: Date of Birth 电子信箱: Email: 是否有21岁以下未婚子女 Have children under 21 years unmarried ) 职业: Occupation 年收入： Annual income 护照签发地: Place of Issuance 护照号码 Passport number 护照签发日期: Date of issuance 护照过期日: Date of expiration 是否获得过赴美签证 Have you ever been issued a US visa 杰出人才成就/才能情况 Information of Extraordinary Ability and Achievements 是否取得过重大的国际认可的奖项 （一次性成就）如诺贝尔，奥斯卡，奥林匹克？ Have you received Major internationally recognized award (a one-time achievement) such as Nobel, Oscar, Olympics ？ 如果没有，是否符合以下条件/标准？ If No, can you meet any of the following criteria？ 是 Yes 否 No 1. 是否获得过国家或国际认可的奖项 Have you received nationally or internationally recognized prizes 获奖时间 Date 奖项名称 Name of the prizes 评选标准/Criteria of Awarding 此奖项的重要意义/State the significance of the prize. 2. 是否必须有突出成就方能加入的专业协会或机构的会员 Are you a member of an association/organization which requires outstanding achievements for admission 是 Yes 否 No 入会时间 Date 协会/机构名称 Association/organization Name 担任职务/Position 入会标准/ Criteria for Membership Admission 3. 是否有专业报刊杂志或主要新闻媒体(广播、电视)刊登,评论,介绍,播出有关你杰出才能的材料. Published material about the alien in professional or major trade publications or other major media, relating to the aliens work in the field for which classification is sought. 是 Yes 否 No 发表时间 Date 报刊杂志/新闻媒体名称 Name of publications 发行范围/发行量 Circulations 报道题目和内容简要 Title of report and brief content 4. 是否担任过评审小组成员或单独评审员、评审、编审相同或相关专业方面其它人员的工作和文章； Evidence of the aliens participation, either individually or on a panel, as a judge of the work of others in the same or an allied field of specification for which classification is sought; 是 Yes 否 No 评委时间 Date 评审比赛项目/活动 Name of c